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 ·  Same-day appointmENTS AVAILABLE
CALL:  020 3146 6755
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CALL:  0203 146 6755

The art of IDD spinal decompression at our clinic.

Computer-controlled spinal decompression on the Accu-SPINA system. The gold standard, non-surgical option for confirmed disc herniation, sciatica, and stenotic pain.
WHO IT'S FOR

Conditions IDD Therapy can treat

IDD is the most-evidenced non-surgical option for disc herniation and stenosis. If you have been offered surgery, this is the option many surgeons recommend trying first.
MOST COMMON

Disc Herniation and Bulging Disc

IDD Therapy is specifically designed to target the affected disc directly, whether in the neck (cervical spine) or lower back (lumbar spine), gently decompressing the space between vertebrae to help reduce pressure on a herniated, bulging, or prolapsed disc.

By creating negative pressure within the disc, treatment aims to encourage the disc material to retract away from compressed nerves, while improving hydration and nutrient flow to support the disc’s natural healing process.

This makes IDD Therapy a well-suited option for patients experiencing localised back or neck pain alongside referred symptoms, particularly where an MRI has confirmed a disc-related diagnosis and other treatments haven’t resolved symptoms.
COMMON

Sciatica

Sciatica — pain that radiates from the lower back through the buttock and down the leg, sometimes as far as the foot, often alongside numbness, tingling or weakness — is commonly caused by a lumbar disc pressing on the sciatic nerve or its nerve roots.

IDD Therapy targets the specific disc level involved, gently decompressing the area to relieve pressure directly at the source, rather than simply managing the referred leg pain symptomatically.

This targeted approach can be particularly effective where sciatica has become chronic or hasn’t responded to general stretching, medication, or rest.
SPECIALIST

Degenerative Disc Disease

As discs lose height and hydration with age, they can place increasing strain on surrounding joints, ligaments, and nerves, leading to stiffness, chronic aching, and reduced mobility in the neck or lower back.

IDD Therapy aims to gently restore space between the affected vertebrae, helping decompress worn discs, improve movement, and reduce the mechanical strain contributing to ongoing pain — offering a non-surgical option for patients whose disc degeneration has not responded to standard conservative treatment.
STENOSIS

Spinal Stenosis

Spinal stenosis — a narrowing of the spinal canal or the small openings where nerves exit the spine — can compress nerves and lead to pain, numbness, tingling, or weakness, often worsened by standing or walking.

Whether narrowing occurs in the cervical or lumbar spine, IDD Therapy works to gently create additional space within the affected segment, helping relieve this nerve compression and reduce the referred pain and stiffness associated with the condition.
RECURRENT

Chronic Neck and Lower Back Pain

For long-standing neck or lower back pain that hasn’t responded to standard treatment such as manual therapy, medication, or general exercise, IDD Therapy offers a targeted, evidence-based, non-surgical option.

Rather than treating the whole neck or back as one general area, treatment is precisely directed at the specific disc or vertebral segment identified as the source of your pain, making it a suitable option for patients considering more invasive interventions, such as spinal injections or surgery, who want to explore non-surgical alternatives first.
FAILED CONSERVATIVE

No-improvement cases

Patients who have done 3+ months of osteopathy or physio without resolution. IDD often unlocks cases that have been stuck.

Have an unlisted condition?

We treat a wide variety of non exhaustive conditions and injuries not listed here. If you're in pain and unsure if we can help - we probably can! Give us a call and one of our experts can have a chat with you to see how we can help.
OUR APPROACH

How does IDD Therapy Work?

IDD Therapy is a precise, computer-controlled form of spinal decompression, designed to treat back and neck pain at its source — the affected disc and vertebral segment — rather than simply managing symptoms. If you've been dealing with persistent back or neck pain, sciatica, or nerve-related symptoms that haven't responded to rest, medication, or general treatment, understanding exactly what happens during a session can help you feel more confident about whether it's right for you.
01

Targeted Decompression

Using a computer-controlled system, your practitioner gently and precisely distracts (separates) the vertebrae surrounding the specific disc identified as the source of your pain.

Unlike general spinal traction, which pulls on the spine as a whole, IDD Therapy can isolate an individual spinal segment, targeting the exact level involved — whether that’s a specific lumbar disc in the lower back or a cervical disc in the neck.

This precision is what distinguishes IDD Therapy from more generic decompression or traction devices, and is part of why it’s used specifically to treat a confirmed disc-related diagnosis, rather than general back pain.
02

Creating Negative Pressure Within the Disc

As the vertebrae are gently separated, pressure within the targeted disc drops, creating what’s known as negative intradiscal pressure.

This vacuum-like effect is thought to help draw a bulging or herniated portion of the disc back toward its centre, while also easing the mechanical pressure the disc places on nearby nerves — the pressure often responsible for referred pain, numbness, or tingling into the arm or leg.
03

Rehydration and Nutrient Exchange

Discs rely on movement to stay healthy, since they don’t have a direct blood supply and instead absorb fluid, oxygen, and nutrients through pressure changes.

The cyclical pulling and releasing pattern used in IDD Therapy is designed to draw fluid and nutrients back into a worn or dehydrated disc, supporting its natural repair process and helping to reverse some of the effects of degeneration over time.
04

Gentle Oscillation and Tissue Mobilisation

Alongside decompression, the system applies small, rhythmic oscillations to the treated segment — a gentle “wiggling” motion that helps loosen tight surrounding muscles and ligaments, encourage healthy joint movement, and further support fluid exchange within the disc and joint.
05

Combined with Osteopathy and Manual Therapy

Unlike a standalone decompression device used in isolation, we combine IDD Therapy sessions with hands-on osteopathy and manual therapy as part of our in-house combination approach.

While IDD Therapy addresses pressure at the disc itself, manual treatment works on the surrounding muscles, joints, and soft tissue — releasing compensatory tension and restoring movement that often builds up around a long-standing disc problem.

Treating both elements together, rather than the disc in isolation, is central to how we deliver this therapy.
06

A Structured, Progressive Course

Each session follows a carefully controlled pattern, alternating between a higher tension phase and a lower tension release, repeated in cycles throughout treatment.

Just as you’d build up gradually when starting a new form of exercise, the force applied is increased progressively over your course of treatment, as your spine adapts and the surrounding muscles and ligaments strengthen — helping build lasting change rather than temporary relief.
07

The Evidence Behind IDD Therapy

IDD Therapy is delivered using FDA-cleared spinal decompression technology, and has been the subject of a number of clinical studies examining its effect on disc-related pain.

Published research has reported improvements in pain scores, disability levels, and straight leg raise test results (a common clinical measure of sciatic nerve irritation) in patients treated with IDD Therapy, alongside imaging evidence of reduced disc herniation size in some cases.

It’s generally considered most appropriate for patients with confirmed disc-related neck or back pain that hasn’t improved with other treatment after a reasonable period — your practitioner can talk you through the evidence most relevant to your specific condition and how it compares with other options available to you.
— WHAT TO EXPECT

Your first session.

Our IDD Sessions uniquely combine expert diagnosis, manual therapy care and IDD spinal decompression, along with ongoing rehab and lifestyle advice to better manage your recovery.

Appointments including IDD and hands on treatment are approximately 50-60 minutes.

We recommend you bring any MRI scans or reports you may have prior to the appointment.
A man with grey hair lies on his back on exercise equipment, gripping handles with both hands. He wears a black shirt with a large white geometric design, and his legs are slightly bent.
— Transparent Pricing

No surprises
at the end of the visit.

Additional treatment modalities such as dry needling, ultrasound and shockwave are all included at no extra cost.

Standard appointments

Osteopathy, Physiotherapy, Medical Acupuncture/Dry Needling
Initial consultation
Approximately 40 mins
£80
Follow-up
Approximately 40 mins
£80
Please note that consultation times are approximate and may be shorter or longer depending on the level of treatment required.
Osteopathy for Children under 12
£70
Massage / Lymphatic Drainage
60 / 90 min
£80 / £110
Clinic Director Appointments:
Osteopathy, TCM Acupuncture

First Appointments 
 
£105
Follow Ups
£95

Specialist treatments

Shockwave Therapy
• Includes osteopathy and manual therapy
• Approximately 40 mins
£80
6-session package
• All modalities except IDD
• Packages are not available with the  clinical Director
£460
IDD Therapy session
• Includes osteopathy and manual therapy
• Approximately 45-60 mins
£95
IDD Packages
6 sessions:  £ 550
12 sessions  
£ 1020
• Packages are not available with the Clinical Director
Home visits across London, on-site visits and corporate wellness provision can also be delivered on request. Please contact us for further information.
Please read our cancellation policy before making an appointment.
We are registered with most major health care insurers including Vitality, Simply Health, Cigna and WPA. Please check with your insurance and terms of your policy.

Please note that for all appointments with The Art of Healing, patients are responsible for all payments and claims with their insurance directly. We can provide you with a receipt on request. Please be sure to check with your insurance and terms of your cover as we cannot be held responsible for any disparities, excess or difference between our fees and any insurance cover you may be entitled to.

We no longer accept or take Axa registered appointments at this time.

The Research Behind IDD Therapy

IDD Therapy is delivered using the Accu-SPINA system, an FDA-cleared spinal decompression device, and has been the subject of a number of published clinical studies examining its effect on chronic back and neck pain, disc herniation, and disability.

Significant Pain Reduction

A study of over 500 patients with chronic low back pain found a 65% average reduction in pain following a course of IDD Therapy, with pain relief averaging 78% at one-year follow-up — indicating that improvements were sustained well beyond the treatment period itself.¹

A separate study of 60 patients with low back pain lasting longer than three months reported a statistically significant reduction in pain, from an average score of 61 to 32 on a 100-point Visual Analogue Scale (VAS), alongside a significant improvement in disability scores (Oswestry Disability Index).²


Recent Outcomes in Disc Herniation and Bulging Discs

A 2026 retrospective study of patients with MRI-confirmed cervical and lumbar disc bulges and herniations, who completed a course of 30 IDD Therapy sessions, found mean pain scores (VAS) fell from 5.8 to 1.5, and disability scores (ODI) improved from 18.5 to 6.5 — both statistically significant, large-magnitude improvements (p < .0001), with no adverse events reported.³


Comparable to Intensive Physiotherapy

Research comparing IDD Therapy to an intensive physiotherapy programme of lumbar stabilisation exercises found IDD Therapy achieved comparable results, with both approaches producing meaningful reductions in pain over a one-year period — supporting IDD Therapy as a genuine evidence-based alternative within a broader non-surgical treatment pathway.⁴


A Note on the Evidence

Please note that IDD Therapy is best considered as part of a broader, personalised treatment plan with appropriate rehab and management — most appropriate for patients with a confirmed disc-related diagnosis who haven’t found relief through standard conservative treatment, rather than a guaranteed solution for all back or neck pain.


References

  1. Shealy, C.N. (2005). Intervertebral Differential Dynamics Therapy. Practical Pain Management, Technology Review.
  2. Schimmel, J.J.P., de Kleuver, M., Horsting, P.P., Spruit, M., Jacobs, W.C.H., van Limbeek, J. (2009). No effect of traction in patients with low back pain: a single centre, single blind, randomized controlled trial of IDD Therapy. European Spine Journal, 18, 1843–1850.
  3. Bartrom, S., Syed, E., Graham, T. (2026). Quantifying Clinical Outcomes of IDD Therapy in Patients with Cervical and Lumbar Disc Bulges and Herniations. Journal of Physical Medicine and Rehabilitation, 8(1), 10–16.
  4. Schaufele, M.K., Newsome, N. (2011). Intervertebral Differential Dynamics (IDD). Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin, 21, 34–40.
  5. Schimmel et al. (2009), as above — note this same RCT is the source of both the significant within-group improvement (point 2) and the null result versus sham treatment.
— FAQ —

Common Questions About IDD Therapy

IDD Therapy is delivered as a structured course of treatment, typically building up over several weeks, since the disc responds gradually to repeated, controlled decompression. Your practitioner will assess your condition and progress throughout your course and adjust your plan accordingly — some patients notice improvement within the first few sessions, while others need a longer course to see the fullest benefit.

IDD Therapy is generally comfortable and shouldn't be painful — many patients find the gentle, controlled traction relaxing, and some even doze off during treatment. Pressure is carefully calibrated to your specific condition and gradually increased over your course of treatment as your body adapts.

Unlike standard traction, which applies a general pulling force across the whole spine, IDD Therapy uses computer-controlled technology to target a specific disc or spinal segment with precise, calibrated pulling and holding cycles. This allows more targeted, effective treatment of the exact area causing your symptoms, rather than a generalised stretch.

IDD Therapy is commonly used to treat disc herniation and bulging discs, sciatica, degenerative disc disease, spinal stenosis, and chronic neck or lower back pain, particularly where symptoms are linked to pressure on a specific disc or spinal segment and haven't responded to standard conservative treatment.

Yes — a number of published clinical studies have reported significant improvements in pain and disability scores following a course of IDD Therapy, including in patients with confirmed disc herniations and bulges. Results vary between studies and individuals, and IDD Therapy tends to be most effective for patients with a confirmed disc-related diagnosis, rather than general back pain. Your practitioner can talk you through the evidence most relevant to your specific condition.

Some patients feel mild soreness or stiffness after their first few sessions, similar to starting a new form of exercise, which typically settles as the course progresses. Serious side effects are rare when treatment is carried out by a qualified practitioner following a thorough assessment.

IDD Therapy is generally very safe, but it isn't suitable for everyone. Conditions such as spinal fractures, certain spinal instabilities, pregnancy, or specific surgical hardware may mean IDD Therapy isn't appropriate. Your practitioner will review your history and any relevant imaging before starting treatment to confirm it's suitable for you.

Yes — this is a core part of how we deliver IDD Therapy. We combine IDD sessions with hands-on osteopathy and manual therapy as part of our in-house combination approach, addressing both the disc pressure being treated and any surrounding joint or muscular restriction contributing to your pain.

Some patients notice an improvement in pain within the first few sessions, though for most disc-related conditions, the fullest benefit builds gradually over the full course of treatment as the disc and surrounding tissue respond to repeated decompression.

Not always, but where you have a recent MRI or existing imaging, it's very helpful for confirming a disc-related diagnosis and identifying the exact segment to target. If you don't have imaging, your practitioner will carry out a full clinical assessment to determine whether IDD Therapy is appropriate, and may refer you for imaging first if needed.

— Ready to begin?

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The Art of Healing
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Same day, expert hands on treatment - guaranteed.
● Earls Court
Unit 6, 282 Earls Court Road
London SW5 9AS
Open 7 days · 8am – 9pm
● Wandsworth
Unit 129, First Floor,
The Light Bulb Filament Walk, Wandsworth, SW18 4GQ
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